Case Discussion Pulmonary – Part 2 Follow up Visithttps://myassignmenthelp247.com/

Purpose

The purpose of this assignment is for students to:

1. Improve their ability to formulate diagnoses based on clinical presentation of patients

2. Improve their ability to understand and apply National Guidelines for the diagnosis and treatment of Pulmonary disorders

3. Design a relevant treatment plan

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

1. Utilize healthcare delivery system resources in a fiscally responsible manner in the diagnosis and treatment of patients and families across the lifespan. (PO 5)

2. Develop management plans based on current scientific evidence and national guidelines. (PO 5)

3. Educate patients on treatment decisions (WO1)

4. Select an evidence-based article to support the plan of care for the case study patient. (WO2)

5. Analyze national guidelines and apply them to specific case study situations. (WO3)

6. Review appropriate antibiotic prescribing guidelines. (WO4)

corticosteroid inhaler

Requirements:

Michelle continues to work in the bakery and her asthma has been well controlled on a low-dose inhaled corticosteroid inhaler, Singular 10mg daily, and Albuterol prn which she uses 1-2 times per week. Michelle presents to the clinic with an acute illness that developed 2 days ago and has a respiratory rate of 24, mild SOB with exertion, O2 saturation of 94%, and complaint of inspiratory and expiratory wheezing. She is able to speak and states her temperature over the last 2 days has been 101 to 102 F.

Cough is productive of white sputum. Influenza A is going around the bakery. Exam findings show a woman who appears her stated age and is alert and oriented and though calm, is having mild work of breathing. AR 110 BPM, BP is 150/85, RR: 24, Temp 101.4. She has a nonproductive, dry cough, is mildly short of breath, fair chest expansion, + inspiratory/expiratory wheezes, no rales, no rhonchi. Auscultation reveals no thrills, gallops or extra heart sounds. Apical rate is elevated at 110. Physical exam is otherwise unremarkable. The MA has swabbed her for Influenza A- test is positive.

Discussion Questions Part Two:

1. Determine appropriate treatment plan for Michelle. Discuss medications, doses, Durable Medical Equipment, and any testing, and apply these directly to her case. Provide your rationale with evidence.

2. Decide whether she is safe to return home, include any prescriptions, or if a referral to a higher level of care is required. Discuss the criteria used to make your decision, how a referral is made and defend your position.

3. Discuss relevant education and follow up plan.

1) Minimum 4 slides with speaker notes and 4 full pages (Follow the 3 x 3 rule: minimum three paragraphs per part)

 

Part 1: minimum 4 Slides with speaker notes

Part 2: minimum 4 full pages

 

Submit 1 document per part

 

2)¨******APA norms- PPP

Don’t use images.

Use the speaker note briefly to provide substantial and objective information

Do not repeat the same information on slides in speaker notes

You should include speaker notes on all slides that expand and deepen the information. Therefore the information must be relevant and complementary.

All paragraphs must be narrative and cited in the text- each paragraph

Bulleted responses are not accepted

Don’t write in the first person

Don’t copy and paste the questions.

All paragraphs must be answered objectively, do not make introductions to your answers, answer them when you start the paragraph

Use the speaker note briefly to provide substantial and objective information

 

2)¨******APA norms- Memo

All paragraphs must be narrative and cited in the text- each paragraph

Bulleted responses are not accepted

Don’t write in the first person

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

 

 

Submit 1 document per part

 

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

 

4) Minimum 4 references per part not older than 5 years (Journals, books) (No websites)

 

5) Identify your answer with the numbers, according to the question.

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

 

6) You must name the files according to the part you are answering:

Example:

Part 1, 2.doc

 

__________________________________________________________________________________

Part 1: Children’s Health Fund PPP

 

1. What is their legislative agenda (2 slides)

2. How is the agenda developed (2 slides)

 

Part 2: National Breast Cancer Coalition- Memo

 

1. Describe 3 learning objectives about the memo

2. Make an introduction about the topic

4. Investigate the group’s key issues

5. The group’s mission

6. Legislative agenda

7. Mechanisms used to engage/attract and influence policy makers

8. Current lobbying efforts

9. Key partner coalitions

10. Do their partnerships influence policies at the local, state or national level: key obstacles

11. Spending allocations (consult the Center for Responsible Politics, www.opensecrets.org).

12. Conclusion

 

bronchiolitis

Question 1

A 6-month-old female presents with rhinorrhea, cough, poor feeding, lethargy, and fever. She is diagnosed with bronchiolitis. Which of the following will the nurse most likely observe on the culture report?

a. parainfluenza virus
b. haemophilus B influenzae
c. respiratory syncytial virus
d. group A beta-hemolytic streptococcus

Question 2

A 53-year-old male with a 20-year history of smoking is diagnosed with emphysema. When a staff member asks why the patient’s airways are obstructed, how should the nurse respond? The airways are obstructed because of:

a. Loss of elastic recoil
b. Airway edema
c. Infection and inflammation
d. Excessive mucus production

Question 3

A 25-year-old male presents with chronic bronchitis of 5 months’ duration. When obtaining the patient’s history, which of the following findings is most likely to cause this condition?

a. chronic asthma
b. air pollution

the aging process.

Define aging from biologic, sociologic, and psychological theories.

 

Identify the different theories and their implications on the aging process.
Define aging from biologic, sociologic, and psychological theories.

1. Develop nursing interventions based on the psychosocial issues and biologic changes associated with older adulthood.
2. Discuss several nursing implications for each of the major biologic, sociologic, and psychological theories of aging.
3. Based on your experience what health promotion strategies would you recommend to facilitate successful aging?

Foundations of Pathophysiology

Case Study: Scope of Pathophysiology

Mr. Reynolds, age 65, is slowly recovering from a recent heart attack. He has a history of emphysema but is having more difficulty breathing. He dislikes medications and any form of therapy.

Question 1

Using normal anatomy and physiology. Discuss how impaired ventilation can interfere with cardiac recovery and function.

Based on the patient’s medical history and his feelings about recovery programs. In conjunction with the patient’s need for medications and other therapies. Discuss the need for medication and participation in recovery programs and possible strategies. And the roles of other professionals in support of his recovery from the heart attack and to manage his respiratory condition.

Diagnostic Principles

Case Study: Diagnostic Principles – Gastric Ulcer

Ms. W. is a 55-year-old patient who consulted her physician because of recurrent epigastric pain. And nausea and two recent episodes of vomiting. In which the emesis was dark-colored. And granular in appearance. Her history includes heavy alcohol use, cigarette smoking. And persistent headaches. She has not followed all her physician’s previous recommendations. But has been controlling her headaches by taking two aspirins every few hours. Following tests. Ableeding gastric ulcer was diagnosed.

Question 1 , 2, 3, 4Discuss

the factors contributing to Ms. W.’s condition.

synergism, antagonism and potentiation as they apply to this case.

 the potential effects of increased bleeding from the ulcer.

issues related to patient compliance.

Case Study: Inflammation and Healing – Fracture and Swelling

JL, a 50-year-old woman, fell. And broke the left tibia at the ankle. She is in the emergency department. Waiting for the fracture to be immobilized. The leg hurts and she notes that the ankle is swelling. A diagnosis of a simple fracture and sprain (damage to ligaments) is made.

Question 1 What is the cause of pain. And swelling? What can JL expect in the days to come as inflammation resolves and healing begins?

Question 2

What is the rationale for immobilizing the fractured bone?

Question 3

She is told to come back to the fracture clinic in 24 hours to have her cast checked. What could happen to the inflamed tissue if the edema increases in the casted area?

Question 4

She reports feeling fatigued and anorexic. And has a low-grade temperature. What is the cause of these symptoms?